Pregnancy Over 40: A Midwifery Perspective on AMA Care

In this episode of The Homebirth Midwife Podcast, Sarah and Charli explore advanced maternal age care for pregnancies over 40, unpacking what the data actually says about risk while keeping the conversation grounded and compassionate. They explain the difference between absolute and relative risk, discuss maternal and neonatal considerations, and highlight the lack of a universal standard of care for this population. Throughout the episode, Sarah and Charli emphasize informed choice, individualized care, and the importance of centering mothers, not just babies, in conversations about risk. With real-life examples and thoughtful reframing, they affirm that people over 40 can and do have safe, empowering, and positive birth experiences.

Key Takeaways

• Sarah and Charli look at what the data actually says about risk in pregnancies over 40.
• They explain the difference between absolute and relative risk and discuss maternal and newborn considerations.
• The episode notes the lack of a universal standard of care for this group and emphasizes informed choice and individualized care.
• With real-life examples, they affirm that people over 40 can and do have safe, positive birth experiences.

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